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Woman using nasal decongestantOver the counter nasal spray dependence may be a new concept to most people, but to the millions of nasal spray users, this is a well-hidden by-product of a seemingly innocuous medicine. It is estimated that one out of four of the over 50 million nasal spray users suffer from dependence to this product. The self medicating starts when patients suffering from chronic sinus problems from nasal obstruction or over all congestion. Beyond the discomfort of not being able to breathe properly,  this condition can also cause headaches, lack of sleep, and a lowered resistance to general sinus infections.

 Companies offering homeopathic means to combat congestion will foster fears about nasal sprays due to their chemical content of such ingredients as Phenylephrine, Xylometazoline and the most popular Oxymetazoline, touting that these ingredients are not only bad for your body but can cause addiction and recurring symptoms to worsen over time. It does appear that certain nasal decongestants have the potential to damage sensitive membranes inside the nasal passages which could lead to chronic nose bleeds, there is no general consensus that addiction is a side effect.

According to the Mayo Clinic, "You cannot become addicted to a nasal spray. Addiction is a compulsive physiological need for and use of a habit-forming substance known to be physically, psychologically or socially harmful. Over-the-counter nasal sprays don't contain any habit-forming ingredients, and they don't cause the compulsive cravings that mark an addiction. However, it is possible to develop a tolerance to nasal sprays."

Interesting enough, doctors, scientists and psychiatrists have different ways to define addiction. On the Scientists and doctor side of the coin, they'll call a condition addiction if the drug stimulates the pleasure center in your brain. Psychiatrists on the other hand say something is addictive if your need for it makes you do illegal, harmful things to get it. Neither case applies to the nasal spray user.

Dependence vs Addiction
Once we've established nasal spray users are not conventional addicts, they still suffer from dependence on an over the counter medication. Most nasal spray packaging will tell the consumer to limit their use to three days in a row. Otherwise a condition called "rebound congestion" can ensue. According to How Stuff Works, "because your body launches a biological counterattack against the effects of a drug. One way it does this is by increasing cellular processes and other activities that produce the opposite effect. In the case of decongestants, the body tries to dilate the nasal blood vessels. This cancels out the decongestant's effect, and the same squeeze of the bottle that brought you relief before no longer helps."
 

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